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We are the Dream Community Questionnaire
Welcome to the We Are The Dream Digital Storytelling Collective!
Please take a few minutes to complete this form and let us know if you have any questions!
Thank you for joining us!
The Dream Team
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Email
*
Your email
First & Last Name
*
Your answer
City/State
*
Your answer
Email address
*
Your answer
Phone #
*
Your answer
Parent or Guardian Name (if you are over 18 years old, please put N/A)
*
Your answer
Parent or Guardian Contact: Email or Phone (if you are over 18 years old, please put N/A)
*
Your answer
Which organization are you part of?
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CREED
The Black Church Center
The Flourish
SHIPHT
Energy Converters
LatinxEd
Ridgeview Prep Academy
Fredrick Douglas High School
BCDI- Atlanta
Other:
Required
Ethnicity: How do you identify?
*
African American / Black
Latinx / Hispanic
Asian American / Pacific Islander
Indigenous
Middle Eastern/North African
White
Other:
Required
Our storytelling project is focused on the groups below. Which group describes you? Check all that apply.
*
High school student of color (15-18 years old)
Undergrad college student (Currently enrolled in a 2 or 4 year college/university, full or part time)
Young person who no longer attends school (19-25 years old)
Parent of color (parent of a school-aged student)
Teacher/school staff of color
Artist and/or Activist
Someone else awesome
Required
Access to technology
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I have a smart phone that can record video
I have a tablet and/or Ipad with internet access
I have a computer with a camera and internet access
I do not have access to the internet
Required
What is the highest grade/level of school you completed?
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I am currently a High School Student
High School/GED Graduate
Some College (1 year or more)
Associates Degree Received
Bachelors Degree Received
Some Graduate Level (Masters/Ph.D)
Graduate Level Degree Received
I am not currently in school and I did not receive a high school diploma
Required
Why did you/do you go to school? What does being a student mean to you?
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Your answer
What are/were your goals after high school? How do in school experiences impact your life goals?
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Your answer
What motivates you? (check your top 2-3)
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Love
Justice
Family
Kindness
Service
Courage
Faith
Community
Liberation
Wealth Building
Other:
Required
Who do you consider to be a part of your personal community of support?
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Your answer
What ways do you like to tell stories? Check all that apply.
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Poetry
Spoken word
Rap
Beat making
Creative nonfiction
Photography
Free form
Just telling it like it is
Academic theory
Required
In your opinion, what is the most pressing issue in your community?
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Access to healthcare, doctors, and medicine
The economy: Jobs, fair wages, entrepreneurship
Education
Criminal Justice / Mass Incarceration
Racial Justice
Environmentalism and City Development
Other:
Required
What is your personal mantra? What do you say to inspire yourself?
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Your answer
What is something you hope to accomplish by sharing your story and thoughts in these videos?
*
Your answer
Comfort with technology
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I'm really comfortable and make and upload videos all the time
I'm somewhat comfortable. I take pictures and text to my friends, but think I could be coached to do more
I am not comfortable. Even with coaching, I think I would struggle to make videos on my own.
Are you on social media? Which platform do you use the most?
Facebook
Instagram
Twitter
YouTube
Tiktok
Other:
If you'd like to connect on social media, please share you handle/@
Your answer
Do you have any questions or comments you'd like to share with our team? If so, let us know here and we'll get back to you ASAP!
Your answer
Send me a copy of my responses.
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